Dr Sarah Browning1,2,3, Mr. Jeffrey Deane1,2
1Infection Prevention Service, Hunter New England Local Health District, New Lambton Heights, Australia, 2Infection Research Program, Hunter Medical Research Institute, New Lambton Heights, Australia, 3School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
Biography:
Dr Sarah Browning is the Clinical Director of the Infection Prevention Service in the Hunter New England (HNE) Local Health District, and a Conjoint Lecturer at the University of Newcastle. She is an Infectious Disease Physician at the John Hunter Hospital, Newcastle NSW, and recipient of the HNE Clinical Health Services Research Fellowship. Dr Browning is completing a PhD exploring MRO transmission in acute health care settings and is passionate about increasing junior medical officer confidence and engagement in Infection Control topics within her clinical and research roles.
Abstract:
Background
Engaging medical officers in Infection Prevention and Control (IPC) can be challenging. Limited medical officer IPC representation deprioritises IPC education and accountability in areas essential for patient safety.
Methods
In 2023, we launched the Hunter New England Junior Medical Officer (JMO) IPC Champions Program as a strategy to inspire changes to the ways in which JMOs perceive and prioritise infection control issues. Selected JMOs complete formal quality improvement training, engage in peer-level education opportunities and lead IPC quality improvement projects. Mentorship is provided by the IPC Clinical Director and is supported by local IPC staff.
Results
In 2022, 6 JMOs completed the program. Outcomes included the development of branded program media resources, delivery of IPC education to their peers, and quality improvement in identified issues such as alcohol-based hand rub availability. As a result of their efforts, we have seen improved accountability for ABHR availability in patient zones. In 2023, 10 JMOs were welcomed into the program. Audits in progress include: ‘Gowns Down’, an education package supporting risk assessments for gown and glove use in the context of respiratory infections; barriers to timely removal of cubital fossa cannulae across four wards; and a national survey evaluating endoscopy final rinse water outcomes.
Conclusions
A coordinated strategy to address deficits in medical officer IPC education, professional development and accountability is needed. This program highlights the eagerness of JMOs to engage in IPC initiatives when invited to do so, and on a larger scale, offers the hope of culture change with time.